NPI: 1366737173 · ODESSA, TX 79763 · Dentist · NPI assigned 06/09/2011
Authorized official PU, MARY controls 20+ related entities in our dataset. Read more
| Authorized Official | PU, MARY (CFO) |
| NPI Enumeration Date | 06/09/2011 |
Other providers sharing the same authorized official: PU, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| RED ROCK DENTAL-FARMINGTON | IRVING | TX | $3.59M |
| SAGE DENTAL | BAYTOWN | TX | $2.35M |
| PEPPERMINT DENTAL-MONTGOMERY LLC | ALBUQUERQUE | NM | $2.14M |
| SAGE DENTAL-DEER PARK PLLC | LA PORTE | TX | $1.87M |
| VINH NGO DENTISTRY PLLC | VICTORIA | TX | $1.65M |
| ELEMENT DENTAL-BRYAN PLLC | BRYAN | TX | $1.57M |
| FUSION DENTAL | IRVING | TX | $1.49M |
| ELEMENT DENTAL-CONROE PLLC | IRVING | TX | $1.49M |
| GULFSIDE DENTAL PORT ARTHUR PLLC | PORT ARTHUR | TX | $1.39M |
| PEPPERMINT DENTAL-RIO BRAVO LLC | ALBUQUERQUE | NM | $1.29M |
| FRESH DENTAL-SHREVEPORT | IRVING | TX | $1.27M |
| FRESH DENTAL-BOSSIER CITY | IRVING | TX | $1.21M |
| PEPPERMINT DENTAL-SHERMAN PLLC | SHERMAN | TX | $1.17M |
| ELEMENT DENTAL PLLC | LUFKIN | TX | $1.06M |
| RIO DENTAL AND ORTHODONTICS LLC | RIO RANCHO | NM | $1.00M |
| ELEMENT DENTAL-HUMBLE PLLC | HUMBLE | TX | $942K |
| GULFSIDE DENTAL | BEAUMONT | TX | $939K |
| LEGEND DENTAL-GEORGETOWN | GEORGETOWN | TX | $919K |
| BLISS DENTAL LUBBOCK PLLC | LUBBOCK | TX | $826K |
| ARCHSTONE DENTAL-GRANBURY PLLC | GRANBURY | TX | $817K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,239 | $23K |
| 2021 | 9,639 | $229K |
| 2022 | 9,197 | $219K |
| 2023 | 8,225 | $226K |
| 2024 | 5,051 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,259 | 484 | $114K |
| D0145 | Oral evaluation for a patient under three years of age | 835 | 820 | $111K |
| D0120 | Periodic oral evaluation - established patient | 3,845 | 3,713 | $101K |
| D1120 | Prophylaxis - child | 2,844 | 2,760 | $93K |
| D1110 | Prophylaxis - adult | 1,837 | 1,755 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,699 | 3,115 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 545 | 271 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 3,466 | 3,317 | $39K |
| D0274 | Bitewings - four radiographic images | 1,178 | 1,124 | $37K |
| D1206 | Topical application of fluoride varnish | 2,738 | 2,661 | $37K |
| D0330 | Panoramic radiographic image | 575 | 549 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 865 | 817 | $26K |
| D0272 | Bitewings - two radiographic images | 1,061 | 1,025 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 1,667 | 1,611 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 252 | 243 | $14K |
| D0603 | 5,140 | 5,021 | $0.00 | |
| D0601 | 311 | 305 | $0.00 | |
| D0602 | 234 | 228 | $0.00 |